DR. SAPNA SHAH MD
NPI 1417675828
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tucson, AZ

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
3838 N CAMPBELL AVE BLDG 2, TUCSON, AZ 85719(520) 694-8888(520) 874-2251 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 24, 2023, Sep 6, 2022, Aug 22, 2022 (3 updates tracked since 2022).

About Dr. Sapna Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAPNA SHAH MD (NPI 1417675828) is an individual endocrinology, diabetes & metabolism provider in Tucson, Arizona, licensed in Arizona (65622) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417675828
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SAPNA SHAHCredential: MD
Location Address3838 N CAMPBELL AVE BLDG 2Tucson, AZ 85719-1454
Mailing Address3838 N Campbell Ave Bldg 2Tucson, AZ 85719-1454 · (520) 694-8888 · Fax (520) 874-2251
Fax(520) 874-2251
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 22, 2022
Last NPPES UpdateJanuary 24, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1417675828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in AZ · 65622
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

3838 N CAMPBELL AVE BLDG 2, Tucson, AZ 85719

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sapna Shah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860877396
PECOS Enrollment IDI20231113000263
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Internal Medicine (Allergy & Immunology)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Dietitian, Registered
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Audiologist
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Family Medicine
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Pharmacist
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Dietitian, Registered (Nutrition, Obesity and Weight Management)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719
Internal Medicine (Nephrology)
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 85719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sapna Shah's NPI number?

The NPI number for Sapna Shah is 1417675828. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Sapna Shah located?

Sapna Shah practices at 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719. The listed phone number is (520) 694-8888.

What is Sapna Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sapna Shah enrolled in Medicare?

Yes. Sapna Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sapna Shah accept?

Health plans from Select Health list Sapna Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sapna Shah affiliated with any hospitals?

According to CMS data, Sapna Shah is affiliated with Utah Valley Hospital, Intermountain Medical Center and Logan Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sapna Shah was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.